Vendor Electronic Payment Form
The form below offers vendors the opportunity to receive future payments electronically.
Vendors wishing to take advantage of this option should follow these steps:
- Click on one of the links below and save the form to your computer or open it. The acrobat form may open automatically.
- If you saved the form to your computer, locate the file you just saved and double-click to open it.
- Complete the form, following the instructions provided.
- Mail the completed form to the address printed at the top of the form.
The form is available as a Microsoft Word document or as an Adobe Acrobat document.
Please Note: This form is for Vendors only. State employees should contact their agency Budget Officer.
Vendor Electronic Payment Form:
- Vendor_Electronic_Payment_Form.doc (Microsoft Word)
- Vendor_Electronic_Payment_Form.PDF (Adobe Acrobat)